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Objective:

Enable Payers and Provider to exchange information that identifies members of a patient population associated with a particular risk based contract.


Workflow (click on the image to enlarge it)



Benefits

Allows the provider and payer to establish and maintain an accurate list of patients that are attributable to the provider

The attribution list supports exchange of other information including gaps in care and quality measures

Creates common format across payers and providers, reducing waste and maintenance


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Sponsoring Workgroup: Financial Management

Co-Sponsoring Workgroup:  Attachments

Risk Based Contract Member Identification Implementation Guide:

STU1 Ballot Reconciliation:

Reference Implementation:

Test Scripts: Touchstone Da Vinci ATR Test Scripts

Zulip Channel: 


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